Individual
EMILIE A. SEBESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-8950
(505) 272-3202
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-3202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004-0525
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16855825
—
CO
05
—
200081730
—
OK
05
—
39308031
—
NM
05
—
891160
—
AZ
Enumeration date
10/03/2006
Last updated
10/23/2024
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